经尺骨鹰嘴操纵杆撬拨复位治疗儿童复杂性肱骨髁上骨折的效果分析  

Effect of Pry and Reset the Olecranon Control Lever Through the Ulna in the Treatment of Complex Humeral Condyle Fracture in Children

作　　者：王文正 谷百川 WANG Wenzheng;GU Baichuan(Department of Trauma Pediatric Orthopedics,Juye County People's Hospital,Heze 274900,China)

机构地区：[1]山东省巨野县人民医院创伤小儿骨科,山东菏泽274900

出　　处：《中国伤残医学》2024年第18期82-85,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:研究经尺骨鹰嘴操纵杆撬拨复位治疗儿童复杂性肱骨髁上骨折的效果。方法:选择2021年1月-2023年10月巨野县人民医院收治的72例复杂性肱骨髁上骨折患儿为研究对象,按随机数字表法将其分为对照组和试验组,各36例。对照组采用传统复位治疗,试验组采用经尺骨鹰嘴操纵杆撬拨复位治疗。比较两组的手术情况、肘关节活动度和功能。结果:试验组手术时间短于对照组,术中出血量、透视次数均少于对照组,差异均有统计学意义(P<0.05);试验组旋前、旋后、屈曲、背伸活动度均大于对照组,差异均有统计学意义(P<0.05);试验组整体肘关节功能优于对照组,差异有统计学意义(P<0.05)。结论:经尺骨鹰嘴操纵杆撬拨复位治疗儿童复杂性肱骨髁上骨折,有助于缩短手术时间,减少术中出血量和透视次数,可有效改善患儿肘关节的活动度和功能。Objective:To investigate the effect of pry and reset the olecranon control lever through the ulna in the treatment of complex humeral condyle fracture in children.Methods:A total of 72 children with complex humeral condyle fractures admitted to Juye County People's Hospital from January 2021 to October 2023 were randomly divided into a control group and an experimental group using a random number table,with 36 cases in each group.The control group received traditional reduction treatment,while the experimental group received pry and reset the olecranon control lever through the ulna.The surgical conditions,elbow joint range of motion,and function of the two groups were compared.Results:The experimental group had a shorter surgical time than the control group,and the intraoperative blood loss and fluoroscopy frequency were less than those of the control group,and the differences were statistically significant(P<0.05).The experimental group had greater pre rotation,post rotation,flexion,and extension range than those of the control group,the differences were statistically significant(P<0.05).The overall elbow joint function of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The treatment of complex humeral condyle fracture in children through the pry and reset the olecranon control lever through the ulna,is helpful to shorten the operation time,reduce the amount of intraoperative blood loss and the number of fluoroscopy,and can effectively improve the range of motion and function of the elbow joint.

关 键 词：儿童复杂性肱骨髁上骨折 经尺骨鹰嘴操纵杆撬拨复位 肘关节活动度 

分 类 号：R683[医药卫生—骨科学]